Gender: M

Race: C

Birth Date: 09/19/1940

Death Date: 1966

Place of Birth: Paris, TX

Year Medical License Issued:

Medical School: Univ. TX Medical Branch, Galveston

Medical School Location: TX

Degree:

Graduation Date:

References: May not have graduated from UTMB.

Certified by TX Board?: Y

Location:

Specialty:

Secondary Specialty:

Notes: